NPIMap

Organization Active NPI

Innovative Behavior Options

  • Behavior Analyst
  • Roswell, GA
National Provider Identifier
1053559971
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1052566 Issued in GA
Legal business name
INNOVATIVE BEHAVIOR OPTIONS
Practice address
1365 Lyndhurst Way
Roswell, GA 30075-2584
Phone
(770) 992-8534
NPI assigned
Jan 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Robin Dawn Stone, M.S., BCBANPI 1780906586
Title
Owner and Behavior Analyst
Phone
(770) 992-8534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1052566 GA Primary
Community/Behavioral Health Agency 251S00000X 1-05-2566 GA

Addresses

Primary practice location

1365 Lyndhurst Way
Roswell, GA 30075-2584

Mailing address

1365 Lyndhurst Way
Roswell, GA 30075-2584
Phone (770) 992-8534

National Provider Directory

National Provider Directory
Tax ID family
Innovative Behavior Options4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1053559971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 LYNDHURST WAY",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752584",
            "telephone_number": "770-992-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 LYNDHURST WAY",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752584",
            "telephone_number": "770-992-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE BEHAVIOR OPTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER AND BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "770-992-8534",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1052566",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "1-05-2566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.